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Haileyesus Fenta

NPI 1407673569 · on the registry since 2024 · sole proprietor

Practice

Address
1517 Ainslie Place Rd
Indian Trail, NC 28079
Phone
(404) 246-6483
Organisation at this address
Erta Ale Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Driver
172A00000X
Also registered as
Private Vehicle
Sex
Male
Record last updated
2024-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina